Conventional Radiography of the Shoulder

The fulcrum axis: A new method for determining glenoid version

“…22 This technique should result in an x-ray that allows the evaluation of the glenohumeral joint space without any overlapping of the humeral head and the glenoid. The advantage of this method is that it demonstrates any superior or inferior migration of the humeral head and detects joint space narrowing seen in arthritis.…”

“…The advantage of this method is that it demonstrates any superior or inferior migration of the humeral head and detects joint space narrowing seen in arthritis. 22 Posterior shoulder dislocation is the most commonly missed major joint dislocation. 13 A reason for this may be found in the seemingly benign anterior posterior radiographic appearance.…”

Improving the diagnostic quality and adequacy of shoulder radiographs in a District General Hospital

“…1 They allow visualisation of the complex anatomy of the shoulder girdle and are essential for the accurate diagnosis and safe assessment of patients. 2 It was noticed during the outpatient clinics of one specialist shoulder consultant at Southport and Ormskirk Hospitals NHS Trust, UK, that shoulder radiographs were sometimes suboptimal, particularly anterior-posterior (AP) and axillary views. These clinics consist of three sessions per week, one at Ormskirk Hospital and two at Southport Hospital.…”

“…2 3 Therefore, it is often used if the patient has a potential dislocation or may be requested to assess the damage done by recurrent dislocations. 2 It also allows evaluation of the gleno-humeral joint from below. 2 In these radiographs, an adequate film must have a clear view of the joint space between the glenoid fossa and the humeral head, the superior and inferior edges of the glenoid fossa should be superimposed, and there should be a clear view of other anatomy such as the coracoid process and the acromioclavicular joint (ACJ) visible through the humeral head (Attachment 1 - Figure 3).…”

Frequently seen incorrect or missing interpretations in orthopedic radiology: what do we need to see? what we cannot see?

“…Bu pozisyon ile bu üst üste binme ortadan kaldırılarak gerçek görüntü elde edilmesi sağlanmaktadır. [13] Bu görün-tüleme ile akromiyoklaviküler eklem, glenohumeral eklem mesafesi, özellikle insitabilitelerde humerus başının yukarı ya da aşağı yer değiştirmesi, artritik durumlarda da eklem mesafesi darlığı doğru bir şekil-de değerlendirilebilir. Omuz çıkığı: Düz radyografilerde kolayca tanı konulur.…”